Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.10.026
Allyson Cochran ∗ , Kevin Elias , Dionisios Vrochides
{"title":"Vertical compliance methodology and post-operative compliance: low compliance in the post-operative phase can be predicted and improved","authors":"Allyson Cochran ∗ , Kevin Elias , Dionisios Vrochides","doi":"10.1016/j.clnesp.2024.10.026","DOIUrl":"10.1016/j.clnesp.2024.10.026","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Page 499"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.10.029
Chad Wagoner, Abby Thomas, Joe Dort, Gregg Nelson, Khara Sauro ∗
{"title":"Enhanced Recovery After Surgery (ERAS) Compliance and Post-Operative Outcomes for Head and Neck Free Flap Reconstructive Surgery","authors":"Chad Wagoner, Abby Thomas, Joe Dort, Gregg Nelson, Khara Sauro ∗","doi":"10.1016/j.clnesp.2024.10.029","DOIUrl":"10.1016/j.clnesp.2024.10.029","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Page 500"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143175687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.10.047
Ziyad Gunga ∗
{"title":"PRINEO as the ideal dressing system after sternotomy in cardiac surgery to limit surgical site infection.","authors":"Ziyad Gunga ∗","doi":"10.1016/j.clnesp.2024.10.047","DOIUrl":"10.1016/j.clnesp.2024.10.047","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Page 508"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.11.023
Jens Bräunlich , Alexander Dinse-Lambracht
Background & aims
Vitamin D deficiency is defined by most experts as a level of less than 20 ng/ml. Studies have shown a relationship between musculoskeletal pain, muscle weakness, headache, and fatigue with low vitamin D level. The term Post–Corona Virus-19 Disease syndrome (PCS) describes new, returning or ongoing symptoms more than 12 weeks after Corona Virus Disease −19 (COVID-19) infection which cannot be explained by any other disorders or illnesses. The most prominent symptoms in PCS are fatigue, headache, and attention disorders. These similarities in PCS and vitamin D deficiency leads to the hypothesis of an association. The aim of this study was to find possible differences in vitamin D levels between PCS patients and a control group without PCS.
Methods
We measured vitamin D levels from April 2021 to December 2022 in 75 (2021) and 73 (2022) subjects (PCS) and compared these values with data from 2019 to 2022 in a non-PCS control group (non-PCS).
Results
We found significantly lower (p < 0,05) vitamin D levels in the PCS cohort (2021: 17,04 ± 8,0 ng/ml; 2022: 17,6 ± 6,6 ng/ml) compared to all years of the non-PCS group (2019: 23,7 ± 14,7 ng/ml; 2020:22,3 ± 13,7 ng/ml; 2021: 22,4 ± 12,3 ng/ml; 2022: 22,6 ± 11,0 ng/ml). There were no significant differences in vitamin D levels within the different years of the non-PCS group and when comparing the two PCS groups.
Conclusion
The results of the study recorded for the first-time decreased vitamin D values in a PCS cohort compared to a control group. This raises the question of whether vitamin D deficiency influences PCS symptoms or whether they are merely the consequences of the limitations of PCS.
{"title":"Decreased levels of vitamin D in Post–Corona Virus-19 Disease syndrome (PCS) patients compared to a control group","authors":"Jens Bräunlich , Alexander Dinse-Lambracht","doi":"10.1016/j.clnesp.2024.11.023","DOIUrl":"10.1016/j.clnesp.2024.11.023","url":null,"abstract":"<div><h3>Background & aims</h3><div>Vitamin D deficiency is defined by most experts as a level of less than 20 ng/ml. Studies have shown a relationship between musculoskeletal pain, muscle weakness, headache, and fatigue with low vitamin D level. The term Post–Corona Virus-19 Disease syndrome (PCS) describes new, returning or ongoing symptoms more than 12 weeks after Corona Virus Disease −19 (COVID-19) infection which cannot be explained by any other disorders or illnesses. The most prominent symptoms in PCS are fatigue, headache, and attention disorders. These similarities in PCS and vitamin D deficiency leads to the hypothesis of an association. The aim of this study was to find possible differences in vitamin D levels between PCS patients and a control group without PCS.</div></div><div><h3>Methods</h3><div>We measured vitamin D levels from April 2021 to December 2022 in 75 (2021) and 73 (2022) subjects (PCS) and compared these values with data from 2019 to 2022 in a non-PCS control group (non-PCS).</div></div><div><h3>Results</h3><div>We found significantly lower (p < 0,05) vitamin D levels in the PCS cohort (2021: 17,04 ± 8,0 ng/ml; 2022: 17,6 ± 6,6 ng/ml) compared to all years of the non-PCS group (2019: 23,7 ± 14,7 ng/ml; 2020:22,3 ± 13,7 ng/ml; 2021: 22,4 ± 12,3 ng/ml; 2022: 22,6 ± 11,0 ng/ml). There were no significant differences in vitamin D levels within the different years of the non-PCS group and when comparing the two PCS groups.</div></div><div><h3>Conclusion</h3><div>The results of the study recorded for the first-time decreased vitamin D values in a PCS cohort compared to a control group. This raises the question of whether vitamin D deficiency influences PCS symptoms or whether they are merely the consequences of the limitations of PCS.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Pages 246-248"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.11.036
Carolina Dumke de Siqueira , Leandro Borges , Tamara Dal Mora , Najla Adel Saleh , Elizabeth Soethe Alves , Sandro Wopereis , Beatriz Garcia Mendes , Ana Carolina Rabello de Moraes , Elaine Hatanaka , Fabíola Branco Filippin-Monteiro
Background & aims
Breastfeeding can be challenging in mothers with overweight or obesity-related chronic low-grade inflammation, resulting in negative consequences for the newborn. The pre-gestational body mass index is negatively associated with lactogenesis II, the onset of colostrum secretion. Herein, we evaluated mothers' inflammation, metabolic status, and components of breast milk after birth to associate these factors with their nutritional and breastfeeding status.
Methods
The study included volunteer mothers, categorized based on their nutritional status and anthropometric parameters, who gave birth in a tertiary maternity hospital. Serum and breast milk samples were collected 24 and 48 h after birth to determine inflammatory biomarkers (SAA, leptin, CRP, IL-1β, TNF-α, IL-8, IL-6, MCP-1, IL-10, and IFN-γ), reproductive hormones (prolactin and progesterone), as well as the breast milk composition (total protein, fatty acid, percentage of fat and Kcal). Furthermore, we conducted a six-month follow-up to assess breastfeeding outcomes. Interestingly, the composition of breast milk did not vary in the different situations analyzed, indicating the stability of the breast milk's composition in meeting infant needs, regardless of age, nutritional status, and type of birth.
Results
Our findings revealed a higher concentration of pro-inflammatory biomarkers (SAA, CRP, TNF-α, IL-8, and IFN-γ) than anti-inflammatory, IL-10, in breast milk. Our study showed that mothers who were overweight after pregnancy had a newborn with a higher birth weight compared to healthy post-pregnancy weight. Our study elucidates the intricate dynamics between maternal weight, inflammation, and breastfeeding outcomes.
Conclusions
While maternal overweight or obesity-related inflammation may pose challenges to lactogenesis II and influence newborn birth weight, breast milk remains a stable and reliable source of essential nutrients for infant nourishment. However, the presence of pro-inflammatory biomarkers in breast milk warrants further investigation into its potential implications for infant health.
{"title":"Early postnatal effects of maternal obesity on breast milk composition and breastfeeding outcomes","authors":"Carolina Dumke de Siqueira , Leandro Borges , Tamara Dal Mora , Najla Adel Saleh , Elizabeth Soethe Alves , Sandro Wopereis , Beatriz Garcia Mendes , Ana Carolina Rabello de Moraes , Elaine Hatanaka , Fabíola Branco Filippin-Monteiro","doi":"10.1016/j.clnesp.2024.11.036","DOIUrl":"10.1016/j.clnesp.2024.11.036","url":null,"abstract":"<div><h3>Background & aims</h3><div>Breastfeeding can be challenging in mothers with overweight or obesity-related chronic low-grade inflammation, resulting in negative consequences for the newborn. The pre-gestational body mass index is negatively associated with lactogenesis II, the onset of colostrum secretion. Herein, we evaluated mothers' inflammation, metabolic status, and components of breast milk after birth to associate these factors with their nutritional and breastfeeding status.</div></div><div><h3>Methods</h3><div>The study included volunteer mothers, categorized based on their nutritional status and anthropometric parameters, who gave birth in a tertiary maternity hospital. Serum and breast milk samples were collected 24 and 48 h after birth to determine inflammatory biomarkers (SAA, leptin, CRP, IL-1β, TNF-α, IL-8, IL-6, MCP-1, IL-10, and IFN-γ), reproductive hormones (prolactin and progesterone), as well as the breast milk composition (total protein, fatty acid, percentage of fat and Kcal). Furthermore, we conducted a six-month follow-up to assess breastfeeding outcomes. Interestingly, the composition of breast milk did not vary in the different situations analyzed, indicating the stability of the breast milk's composition in meeting infant needs, regardless of age, nutritional status, and type of birth.</div></div><div><h3>Results</h3><div>Our findings revealed a higher concentration of pro-inflammatory biomarkers (SAA, CRP, TNF-α, IL-8, and IFN-γ) than anti-inflammatory, IL-10, in breast milk. Our study showed that mothers who were overweight after pregnancy had a newborn with a higher birth weight compared to healthy post-pregnancy weight. Our study elucidates the intricate dynamics between maternal weight, inflammation, and breastfeeding outcomes.</div></div><div><h3>Conclusions</h3><div>While maternal overweight or obesity-related inflammation may pose challenges to lactogenesis II and influence newborn birth weight, breast milk remains a stable and reliable source of essential nutrients for infant nourishment. However, the presence of pro-inflammatory biomarkers in breast milk warrants further investigation into its potential implications for infant health.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Pages 365-374"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.10.034
Jonas Leo ∗ , Marcus Holmberg , Gustaf Wikander , Fausto Labruto , Karolina Helczynska-Hultman
{"title":"Code High Risk Abdomen - CHRA, a novel pathway for the immediate imaging and management of Emergency Laparotomy or Laparoscopy patients, a strong support to the ERAS EL Guidelines.","authors":"Jonas Leo ∗ , Marcus Holmberg , Gustaf Wikander , Fausto Labruto , Karolina Helczynska-Hultman","doi":"10.1016/j.clnesp.2024.10.034","DOIUrl":"10.1016/j.clnesp.2024.10.034","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Page 502"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.clnesp.2024.10.016
Run Wan ∗ , Zhou Juanjuan , Shang Yi , Zhou Xiaoqin
{"title":"Comparative Assessment of Skeletal Muscle Index and Sarcopenia in patients with Gastric cancer between Computed Tomography and Bioelectrical Impedance","authors":"Run Wan ∗ , Zhou Juanjuan , Shang Yi , Zhou Xiaoqin","doi":"10.1016/j.clnesp.2024.10.016","DOIUrl":"10.1016/j.clnesp.2024.10.016","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"65 ","pages":"Pages 494-495"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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